Clinical Focus

  • Pediatric Hospital Medicine
  • Pediatrics

Academic Appointments

Administrative Appointments

  • Physician Lead, Lucile Packard Children's Hospital Performance Improvement (2010 - 2012)
  • Fellowship Director, Stanford University Clinical Excellence Research Center (2011 - Present)
  • Medical Director, Lucile Packard Children's Hospital Performance Improvement (2012 - Present)

Honors & Awards

  • Faculty Teaching Honor Roll with Letter of Teaching Distinction, Faculty Teaching Honor Roll with Letter of Teaching Distinction (2013)
  • Faculty Teaching Honor Roll with Letter of Teaching Distinction, Stanford University School of Medicine (2012)
  • Faculty Teaching Honor Roll, Stanford University School of Medicine (2011)

Boards, Advisory Committees, Professional Organizations

  • Fellow, American Academy of Pediatrics (2011 - Present)
  • Fellow, American College of Physicians (2011 - Present)

Professional Education

  • Residency:University of Michigan Health System (2010) MI
  • Residency:University of Michigan Health System (2009) MI
  • Internship:University of Michigan Health System (2006) MI
  • Medical Education:University of Michigan (2005) MI
  • Board Certification: Pediatrics, American Board of Pediatrics (2009)
  • Board Certification: Internal Medicine, American Board of Internal Medicine (2009)

Research & Scholarship

Current Research and Scholarly Interests

Research interest focuses on improving clinical processes using a "Lean" business strategy and engaging clinicains in systems based clinical improvement efforts.


Stanford Advisees


All Publications

  • Time-driven activity-based costing of multivessel coronary artery bypass grafting across national boundaries to identify improvement opportunities: study protocol. BMJ open Erhun, F., Mistry, B., Platchek, T., Milstein, A., Narayanan, V. G., Kaplan, R. S. 2015; 5 (8)


    Coronary artery bypass graft (CABG) surgery is a well-established, commonly performed treatment for coronary artery disease--a disease that affects over 10% of US adults and is a major cause of morbidity and mortality. In 2005, the mean cost for a CABG procedure among Medicare beneficiaries in the USA was $32, 201 ± $23,059. The same operation reportedly costs less than $2000 to produce in India. The goals of the proposed study are to (1) identify the difference in the costs incurred to perform CABG surgery by three Joint Commission accredited hospitals with reputations for high quality and efficiency and (2) characterise the opportunity to reduce the cost of performing CABG surgery.We use time-driven activity-based costing (TDABC) to quantify the hospitals' costs of producing elective, multivessel CABG. TDABC estimates the costs of a given clinical service by combining information about the process of patient care delivery (specifically, the time and quantity of labour and non-labour resources utilised to perform each activity) with the unit cost of each resource used to provide the care. Resource utilisation was estimated by constructing CABG process maps for each site based on observation of care and staff interviews. Unit costs were calculated as a capacity cost rate, measured as a $/min, for each resource consumed in CABG production. Multiplying together the unit costs and resource quantities and summing across all resources used will produce the average cost of CABG production at each site. We will conclude by conducting a variance analysis of labour costs to reveal opportunities to bend the cost curve for CABG production in the USA.All our methods were exempted from review by the Stanford Institutional Review Board. Results will be published in peer-reviewed journals and presented at scientific meetings.

    View details for DOI 10.1136/bmjopen-2015-008765

    View details for PubMedID 26307621

  • Implementation of Data Drive Heart Rate and Respiratory Rate parameters on a Pediatric Acute Care Unit. Studies in health technology and informatics Goel, V., Poole, S., Kipps, A., Palma, J., Platchek, T., Pageler, N., Longhurst, C., Sharek, P. 2015; 216: 918-?


    The majority of hospital physiologic monitor alarms are not clinically actionable and contribute to alarm fatigue. In 2014, The Joint Commission declared alarm safety as a National Patient Safety Goal and urged prompt action by hospitals to mitigate the issue [1]. It has been demonstrated that vital signs in hospitalized children are quite different from currently accepted reference ranges [2]. Implementation of data-driven, age stratified vital sign parameters (Table 1) for alarms in this patient population could reduce alarm frequency.

    View details for PubMedID 26262220

  • Better Health, Less Spending: Stanford University’s Clinical Excellence Research Center Health Management, Policy and Innovation Platchek, T., Rebitzer, R., Zulman, D., Milstein, A. 2014; 2 (1): 10-17
  • Better Health, Less Spending: Delivery Innovation for Ischemic Cerebrovascular Disease. Stroke; a journal of cerebral circulation Kalanithi, L., Tai, W., Conley, J., Platchek, T., Zulman, D., Milstein, A. 2014

    View details for DOI 10.1161/STROKEAHA.114.006236

    View details for PubMedID 25123221

  • Lean Health Care for the Hospitalist Hospital Medicine Clinics Platchek, T., Kim, C. 2012; 1 (1): e148-160

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